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COMMUNITY ACTION PLAN Bienvenido Drive, Canelar Zamboanga City

In Partial Fulfillment of the Requirement in NCM 105-B For the Degree of Bachelor of Science in Nursing

Presented to: Mrs. Ma. Lourdes Wee Sit RN. MN. Clinical Instructor

Booc, Jerome Anthony M. Bucao, Christine Burong, Marcazeia Cababa, Grethel Carloto, Donna M. Chiong, Emely Christine Chiong, David Cruz, Jame Rae Delea, Mardy De Guzman, James Dale, De la Torre, Aline Demco, Chlo'e Dequia, Reb Carnell Y. Dumdumaya, Antoniette C. Luna, Michelle C.

Western Mindanao State University College of Nursing

December 2013

.ACKNOWLEDGEMENT The Canelar Group of Alumnos Es Angeles Batch 2014 wish to extend our warmest heartfelt gratitude to the following people who generously gave their all out support and, cooperation and contribution in coming up with our community action plan and making it a successful endeavor. To our Clinical Instructor, Mrs. Ma. Lourdes Wee Sit

INTRODUCTION

General Objectives Application of the concepts, principles, theories and methods of developing nursing leaders and managers in the community based setting with consideration on the ethico moral, legal aspects of health care and nursing practice and the nurses responsibilities for personal and professional growth.

Specific Objectives: After 4 weeks of R.L.E IN COMMUNITY it is expected that the following specific objectives will be met: To conduct an ocular survey of the area of Bienvenido Drive, Barangay Canelar. To gather demographic data. To create a map of Bienvenido Drive, Barangay Canelar. Analyze the data gathered from the community. To determine demographic data like number of population, number of households, etc. 6. To identify health needs and concerns in the community. 7. To conduct focus group discussion to validate data gathered. 8. To plan projects/programs to answer the health needs at the community. 9. To coordinate/collaborate with allied health and non-health agencies. 10. To implement the projects/programs planned for the community. 11. Evaluate the effectiveness of the projects/programs implemented. 1. 2. 3. 4. 5.

Plan of Activities I. First Week

Monday: COPAR Orientation Introduction to COPAR Assemble with the Group o Get to know activity with the group Election of Officers Tuesday: Preparation for Team Building Distribution of tasks Practice for cheer and yell Banner making Wednesday: Team Building Thursday: Pre-Entry Stage to Canelar Courtesy call to barangay officials Ocular inspection of the area of Bienvenidos Drive Friday: Data Gathering

II.

Community assessment Interview and survey with prospective clients

Second week

Monday: HOLIDAY!! Tuesday: Second Day of Data Gathering Completion of data Collation of data Wednesday: Preparation for Focus Group Discussion Identify prospective leaders of the area Inviting of clients Planning of activities Thursday: FOCUS GROUP DISCUSSION Friday: Preparation of Project Proposal Formulation of goals and objectives Interpretation of data gathered Finalization of project proposals

III.

Third Week

Monday: Proposal of Project Tuesday Friday: Implementation IV. Fourth Week: Evaluation

SPOT MAP
Canelar, Zamboanga City

HISTORY OF CANELAR, ZAMBOANGA CITY


Barangay Canelar was a quaint sitio of the City of Zambonga in the pre and post war days. So far, Canelar was the largest barrio here in Zamboanga City before the enactment of the Local Government Code of 1996 with its boundary lines in the east, the entire stretch of the Veterans Avenue expanding from the intersection of Tetuan up to Tumaga intersection. In the south it expands its wings up to the Sucabon areas. In the west, the long stretch of the San Jose-Baliwasan Roads and in the north, the boundary line is the runway that divides Barangays Sta. Maria and Canelar. The term Canelar, legend has it, that once upon a time, the barrio was the habitat of for the commercial trees known as Canela. Hence, the Spanish conquistadores gave its official name as Canelar, and since then, the term Canelar became a proverbial word.

LOCATION OF CANELAR, ZAMBOANGA CITY Canelar is about 1.20 kilometers north of City hall. It is bounded in the east by Sucabon Creek; in the north by the airstrip serving as the natural boundary for Canelar and Sta. Maria; in the west a demarcation line has been drawn in the interior portions to separate the Barangays of Baliwasan, San Jose Cawa-Cawa'; and Sto. Nio, and in the southern portion, it is narrowed down to the long stretch of Gov. Alvarez Ave. Gov. Camins Ave. cuts Canelar from East to West. At the cross-section of Gov. Camins Ave. and Sta. Maria Ave (climaco Rd), you will find 24 hour restaurants, such as: Jollibee and Chowking. An "island" full of beautiful plants adorns the center divide.

People of Canelar, Zamboanga City Taken from the 2007 Census: Total Population: 11, 096 Number of Household: 2,416 Population as of May 1, 2010 Census: 11,160

Elected Government Officials of Canelar, Zamboanga City Canelar Barangay Elected Officers for the term of 2010-2013

Canelar, Barangay Chairman, Godofredo G. Sabordo Sr. Canelar, Kagawad 1, Rosslyn L. De La Pea Canelar, Kagawad 2, Ponciano T. Alar Canelar, Kagawad 3, Bernardo M. Tillah

Canelar, Kagawad 4, Jesus S. Balan Canelar, Kagawad 5, Adelina L. Manuel Canelar, Kagawad 6, Allan P. Bernales Canelar, Kagawad 7, Laniegirl T. De La Cruz Canelar, SK Chairman, Rouschelle Mae O. Montojo

Canelar Barangay Elected Officers for the term of 2007-2010


Punong Barangay: Godofredo G. Sabordo Sr. Barangay Kagawad: 1. 2. 3. 4. 5. 6. 7. Bernardo M. Tillah Ponciano T. Alar Nestor R. De la Pea Allan P. Bernales Jesus S. Balan Bernardo G. Manuel Hairun L. Kulani

Secretary: Edwin B. Miguel Treasurer: Anacleto C. Boldorado Jr. SK Chairman: Midzmar A. Kulani SK Kagawad: 1. 2. 3. 4. 5. 6. 7. Mark Anthony R. Tillah Floriza H. Esperat Don Martin L. Atilano Carmel Trix N. Sanson Sarah Jane C. Salik Bryan Erl G. Amano Michael Jordan A. Perez

COMMUNITY ORGANIZING PARTICIPATORY ACTION RESEARCH COPAR (Community Organizing Participatory Action Research) is a social development approach that aims to transform the apathetic, individualistic and voiceless poor into dynamic, participatory and politically responsive community. is a continuous and a sustained process of: o Educating the people - to understand and develop their critical consiousness o Working with people - to work collectively and effectively on their immediate and long term problems o Mobilizing with people - develop their capability and readiness to respond, take action on their immediate needs towards solving the long term problems o The process and structure through which members of a community are/or become organized for participation in health care and community development activities. Process: - the sequence of steps whereby members of a community come together to critically assess to evaluate community conditions and work together to improve those conditions. Structure: - refers to a particular group of community members that work together for a common health and health related goals.

IMPORTANCE OF COPAR COPAR is an important tool for community development and people empowerment as this helps the community workers to generate community participation in development activities. COPAR prepares people to eventually take over the management of a development program in the future. COPAR maximizes community participation and involvement: community resources are mobilized for health development services.

PRINCIPLES: People especially the most oppressed, exploited and deprived sectors are open to change, have the capacity to change and are able to bring about change. COPAR should be based on the interest of the poorest sector of the community. COPAR should lead to a self-reliant community and society.

CRITICAL STEPS (ACTIVITIES) 1. Integration 2. Social Investigation 3. Tentative program planning 4.Groundwork 5. The meeting 6. Role Play 7. Mobilization or action 8. Evaluation 9. Reflection 10. Organization Community Organizing Participatory Action Research (HRDP III-COPAR) is developed to make health services accessible and available for depressed and underserved communities in the Philippines.

Emphasis of COPAR 1. Community working to solve its own problem 2. Direction is established internally and externally 3. Development and implementation of a specific project less important than the development of the capacity of the community to establish the project 4. Consciousness raising involves perceiving health and medical care within the total structure of society

Importance of COPAR

COPAR maximizes community participation and involvement COPAR could be an alternative in situations wherein health interventions in Public Health Care do not require direct involvement of modern medical practitioners COPAR gets people actively involved in selection and support of community health workers Through COPAR, community resources are mobilized for selected health services COPAR improves both projects effectiveness during implementation

Phases of COPAR Process:

1. Pre-Entry Phase - is the initial phase of the organizing process where the community organizer looks for communities to serve and help. Activities include:

Preparation of the Institution Train faculty and students in COPAR. Formulate plans for institutionalizing COPAR. Revise/enrich curriculum and immersion program. Coordinate participants of other departments. Site Selection Initial networking with local government. Conduct preliminary special investigation. Make long/short list of potential communities. Do ocular survey of listed communities. Criteria for Initial Site Selection Must have a population of 100-200 families. Economically depressed. No strong resistance from the community. No serious peace and order problem. No similar group or organization holding the same program. Identifying Potential Municipalities Make long/short list.

Identifying Potential Barangay Do the same process as in selecting municipality. Consult key informants and residents. Coordinate with local government and NGOs for future activities.

Choosing Final Barangay Conduct informal interviews with community residents and key informants. Determine the need of the program in the community. Take note of political development. Develop community profiles for secondary data. Develop survey tools. Pay courtesy call to community leaders. Choose foster families based on guidelines.

Identifying Host Family House is strategically located in the community. Should not belong to the rich segment. Respected by both formal and informal leaders. Neighbors are not hesitant to enter the house. No member of the host family should be moving out in the community.

2. Entry Phase - sometimes called the social preparation phase. Is crucial in determining which strategies for organizing would suit the chosen community. Success of the activities depend on how much the community organizers has integrated with the commuity. Guidelines for Entry Recognize the role of local authorities by paying them visits to inform their presence and activities. Her appearance, speech, behavior and lifestyle should be in keeping with those of the community residents without disregard of their being role model. Avoid raising the consciousness of the community residents; adopt a low-key profile. Activities in the Entry Phase Integration - establishing rapport with the people in continuing effort to imbibe community life. living with the community seek out to converse with people where they usually congregate lend a hand in household chores avoid gambling and drinking Deepening social investigation/community study verification and enrichment of data collected from initial survey conduct baseline survey by students, results relayed through community assembly Core Group Formation Leader spotting through sociogram. Key persons - approached by most people Opinion leader - approach by key persons Isolates - never or hardly consulted 3. Organization-building Phase Entails the formation of more formal structure and the inclusion of more formal procedure of planning, implementing, and evaluating community-wise activities. It is at this phase where the organized leaders or groups are being given training (formal, informal, OJT) to develop their style in managing their own concerns/programs. Key Activities Community Health Organization (CHO) preparation of legal requirements guidelines in the organization of the CHO by the core group election of officers Research Team Committee Planning Committee Health Committee Organization Others Formation of by-laws by the CHO

4. Sustenance and Strengthening Phase Occurs when the community organization has already been established and the community members are already actively participating in community-wide undertakings. At this point, the different committees setup in the organization-building phase are already expected to be functioning by way of planning, implementing and evaluating their own programs, with the overall guidance from the community-wide organization. Key Activities Training of CHO for monitoring and implementing of community health program. Identification of secondary leaders. Linkaging and networking. Conduct of mobilization on health and development concerns. Implementation of livelihood projects.

Presentation, Interpretation and Analysis of Data Gathered The following are the data gathered presented tables represented the data of the following information gathered accordingly. I. COMMUNITY CORE FREQUENCY 60 73 133 PERCENTAGE 45.1% 54.9% 100%

Male Female TOTAL

ANALYSIS & IMPLICATIONS: The above figure shows that 54.9% of the total population consists of females and 45.1% are males. Thus, it implies that the work force is lesser in terms of feminine occupations. Since males are out number by females, procreation ratio is at high rate. AGE 0-11 months 1-6 years old 7 years old 8-14 years old 15-44 years old 45-64 years old 65 years old and above TOTAL FREQUENCY 6 12 6 15 73 15 6 133 PERCENTAGE 4.5% 9% 4.5% 11.3% 54.9% 11.3% 4.5% 100%

ANALYSIS: The above table shows that 4.5% of the sampling population consists of 0-11 months old, 9% belong to the 1-6 years old age group, 4.5% belong to 7 years old, 11.3% belong to 8-14 years old, 54.9% belong to 15-44 years old, 11.3% belong to 45-64 years old and 4.5% belong to 65 years old and above age group. Since majority of the population belong to the reproductive age (15-44 years old), therefore there is a greater possibility that the population will likely increase. Types of Family Structure Types of Family Structure Nuclear Extended Total Total Percentage

25

Ethnic Origin Ethnic Origin Tagalog Zamboangueno Tausug Visayan Total Total 0 22 0 3 25 Percentage 0% 88% 0% 12% 100%

ANALYSIS: The above table shows that there are only Zamboangueos and Visayan resides in the community. Percentage shows that 88% of the sample population are Zamboangueos, 12% are Visayan. Religion Religion Roman Catholic Islam Total Total 25 0 25 Percentage 100% 0% 100%

ANALYSIS: The above table indicates that 25 families from the sample household are devout Roman Catholic. This implies that theres a lesser diversity of values/beliefs, and greater chance of unity within the community.

Educational Attainment

Educational Attainment No Education Elementary Level Elementary Graduate High School Level High School Graduate College Level College Graduate Total

Total 17 19 0 26 28 18 25 133

Percentage 12.8% 14.3% 0% 19.5% 21.1% 13.5% 18.8% 100%

ANALYSIS: The above table indicates the educational attainment which shows that 12.8% have no educational attainment, 14.3% are at elementary level, 0% are elementary graduate, 19.5% are at high school level, 21.1% are high school graduate, 13.5% are at college level and 18.8% are college level. It indicates that the community is affected by the educational attainment and background of the working class in terms of knowledge and skills by adjusting with their level of understanding. This will also reflect their health perception in keeping themselves healthy.

II.

Socio Economic Data Income Income Bracket Below 2000 2000- 5000 5001- 8000 More than 8000 Total

Total 4 3 13 5 25

Percentage 16% 12% 52% 20% 100%

ANALYSIS: The above table shows that 16% of the households in the community earn below Php2000, as their monthly income, 12% earn Php2000-5000, 52% earn Php5001-8000, 20% earn more than Php8000. It implies that majority of the families consist of an average wage earners, therefore the familys basic needs may sufficiently met. III. Housing and Environmental Condition Type of housing Total Concrete 0 Mixed 22 Wood 3 Makeshift 0 Total 25

Percentage 0% 88% 12% 0% 100%

ANALYSIS: The above table shows that 88% of the household possesses a mixed type (concrete and wood materials) housing facility, only 12% are made of wood. It denotes that the community is at less of health hazards since majority are with a mix type of housing but the housing condition is still a threat to a risk disaster in cases of fire. Water supply sources Sources Faucet Deep well Artesian Others, specify Total

Total 25 0 0 0 25

Percentage 100% 0% 0% 0% 100%

ANALYSIS: The above table presents the sources of water supply in the community wherein 100% of the household population use a faucet which they avail from the water district. This implies that the community avails any accessible to potable drinking water. Thus, the community has lesser chances of acquiring water borne diseases. Human Waste Disposal System Total Percentage

Antipolo Cat waste Water sealed Ballot system Bunk system Total

0 0 25 0 0 25

0% 0% 100% 0% 0% 100%

ANALYSIS: The above table indicates the type of human waste disposal system practice in the community. 100% of the household use water sealed. It implies that there is a proper waste disposal system in the community, which prevents the community with certain diseases caused by microorganisms transmitted through fecal oral route . Garbage disposal system Garbage disposal Total percentage system Burning 2 8% Collection 23 92% Total 25 100% ANALYSIS: The above table indicates the type of garbage disposal system used by the residents in the community. 92% use the city garbage collecting system and 8% use the burning system. Since the community people practices the garbage collecting system- it contributes to a proper waste disposal in the community. Presence of Total Percentage rodents Yes, specify 25 (rats) 100% No 0 0% Total 25 100% ANALYSIS: The above table shows the presence of rodents inside the community. 100% of the household noticed the presence of rats. It indicates the risk of health hazard such as communicable diseases (leptospirosis).

Sewage system With septic tank Covered canals Open canals Total

Total 25 0 0 25

Percentage 100% 0% 0% 100%

ANALYSIS: The table shows that 100% of the household used aseptic tank as a sewage system. It shows that there is a proper drainage system. IV. Nutrition

Food preference Fish Meat Fruits/vegetables Mixed Total

Total 0 0 0 25 25

Percentage 0% 0% 0% 100% 100%

ANALYSIS: The table above shows that 100% of the household prefer a mixed food (fish, meat, fruits, and vegetable). It implies that the household are in well balance diet. V. Knowledge, Attitude and Practice First person consulted in times of illness Doctors Nurses Hilot Midwife Sanitary inspectors Total Total 5 18 1 1 0 25 Percentage 22% 72% 4% 4% 0% 100%

ANALYSIS: The table above shows 72% of the household always consulted the nurse in times of illness, 22% consulted a doctor, 4% consulted a hilot, and 4% consulted midwife. This implies that the household consulted a nurse because the nurse in the health center is always available.

Usual illness of the family Illness Cough/colds Skin disease Toothache Diarrhea Abdominal pain Fever constipation Other, specify Total Total 18 1 0 0 0 2 0 4 (hypertension) 25 Pecentage 72% 4% 0% 0% 0% 8% 0% 16% 100%

ANALYSIS: The table indicates that 72% of the household complains of cough and colds as the major illness that they experienced, 16% of the household

complains of hypertension, 8% complains of fever, and 4% complains of skin disease. This indicates the possibility of developing a respiratory infection this could be attributed to the predisposing factors such as fatigue, exposure to in climate weather (extreme hot or cold) polluted air and malnutrition.

VI.

Health status Number of children immunized Fully immunized Partially immunized Not immunized Total 127 6 0 133 95.5% 4.5% 0% 100%

ANALYSIS: The above table indicates that 95.5% of the population are fully immunized, 4.5% are partially immunized, while 0% are not immunized. This implies that the population has least of developing communicable diseases (diphtheria, pertussis, tetanus, etc.). Do you utilized family planning Yes,specify No Total 25 0 25 100% 0% 100%

ANALYSIS: The above table indicates that 100% of the household utilized family planning. It implies that procreation rate of the community is decrease.

Method of infant feeding Breastfeeding Bottle feeding Mixed Total

Total 22 0 3 25

Percentage 88% 0% 12% 100%

ANALYSIS: The above table indicates that 88% of the household use the breast feeding method and 12% of the household use the mixed feeding. It implies that the infants are properly nourished. Subjects you want to learn in health education Drug abuse Family planning First aid measure Herbal plants 3 5 3 6 12% 20% 12% 24%

Others, specify Total

8 (food processing) 25

32% 100%

ANALYSIS: The above table indicates that 32% of the family wants to learn food processing, 12% wants to acquire knowledge about drug abuse, 12% wants to be more conscious on emergency response, and 24% wants to learn about herbal plants. This implies that the households are interested to learn various health related subjects as an aid in their daily lifestyle.

PROJECT NO. 1
Project Title: Tepok Lamok Greenhouse Duration: Ten (10) days Working period: December 4, 2013- December 13, 2013 Location: Star Apple, Bienvenido, Canelar, Zamboanga City Community being served: Canelar, Zamboanga City Estimated Total Cost: P5,000 Collaborating Agencies: Barangay Council, Department of Agriculture, Technical Educational Skills and Developmental Authority Program/Project Description: This project aims to eradicate the breeding sites of vectors of diseases (Leptospirosis and Dengue) by cleaning up pools of stagnant water and converting the area into a greenhouse garden. Program/Project Objectives: 1. To eradicate the breeding sites of vectors of diseases. 2. To provide a source of nutritious vegetables and herbs. Strategy of Implementation:

Program/Project Implementers: IMPLEMENTORS POSITIONS

FUNCTIONS

ACCOMPLISHMENT REPORT